中国姑息治疗

1998年国家药监局（SDA）160号文件《关于癌症病 人使用吗啡极量的通知》，指出：“癌症病人使用 吗啡不受吗啡极量限制” 1999年华西医科大学与美国AIMS举办第一界国际姑 息医学学术研讨会，并建立“姑息关怀病房”和 “姑息医学”杂志专栏
The 160th document The Notice on the Ceiling Dosage of Morphine Used by Cancer Patients issued by State Drug Administration (SDA) in 1998 pointed out that ―the amount of morphine used by cancer patients is not restricted by the ceiling dosage of Morphine‖ West China University of Medical Sciences and AIMS of the U.S.coorganized The First Seminar of International Palliative Care of Sichuan in 1999, and started a hospice by Dr. Jinxiang Li and a column of palliative care in Modern Preventive Medicine Journal



2000年WHO授权在四川大学建立“WHO华西国际癌症姑 息治疗合作中心” 2001年李金祥译著<<晚期癌症病人口服吗啡>> written by Dr.Robert Twycross 2005年李金祥和 Dr.Robert Twycross 主编《姑息医 学》,由人民卫生出版社出版
Sichuan University was authorized by WHO in 2000 to set up ―WHO-Huaxi International Collaborating Centre for Palliative Cancer Care‖
我国麻醉性镇痛药品监管法规(1)
The rule on narcotic analgesic management in China
麻醉药品管制的宗旨：
The Narcotics Management purpose:
保证医疗需求,防止非法滥用。
Ensure the needs of medical treatment, prohibit illegal abuses.

1990-2000年举行多次全国性癌痛和姑息治疗学习班及 临终关怀学习班

The National Symposium on Cancer was co-held by Ministry of Health and WHO in 1990, in which the three-step analgesic ladder was disseminated nation wide The supplying measure of morphine in China was amended three times respectively in 1991,1994 and 1999 The nation-wide campaign on the study of cancer-related pain and palliative care was carried out for many times from 1990 to 2000
by Tianjin University of Medical Sciences, 1988 Wards for terminal care was set up by Tianjin University of

Medical Sciences,1990

1990年卫生部和WHO召开全国癌症专题研讨会，并把癌 症三阶段止痛方案推向全国 1991年、1994年和1999年我国三次修改吗啡供应办法
来自百度文库

1992年及1997年举行了两次全国癌痛现状调查 991年卫生部发布第12号文件《关于开展癌症病人 三阶梯治疗工作的通知》，号召在全国开展“癌 症病人三阶梯止痛治疗工作”
The national survey on the status of cancer-related pain was carried out twice in 1992 and 1997 respectively
The Ministry of Health issued the 12th document The Notice on the implementation of three-step analgesic ladder on cancer patients, and carried out the nation-wide ―three-step analgesic ladder on cancer patients campaign‖ in 1991
Hospice （Chengdu）
Wards for terminal care (Tianjin,Beijing) Wards for good death (Hong Kong) Nursing home for terminal illness (Shanghai)
Hospital for peaceful and comfortable in community (Shantou ,Taiwan)



1993 年卫生部出版《癌症病人三阶梯上痛指导 原则》，并在全国推广 1994 年卫生部发布《关于发布癌症病人申请麻 醉药品专用卡规定的通知》
The Ministry of Health issued The guiding principles on the three-step analgesic ladder on cancer patients in 1993, and disseminated it nation-wide The Ministry of Health issued The Notice on the Issue of the Regulation of Analgesics Application Card by Cancer Patients in 1994




1999年天津医科大学与中国心理卫生协会创办《临 终关怀杂志》
1999年孙燕、顾慰萍主编“癌症三阶梯止痛指导原 则”出版，2000年，2002年再版 2000年,2002年四川大学与WHO OICPC在成都和昆明 举办第二,三界国际姑息医学学术研讨会
Tianjin University of Medical Sciences and China Association of Psychological Health started the Terminal Care Journal in 1999 The book Guiding Principles on the Three-step Analgesic Treatment on Cancer was chief-edited by Sun Yan and Gu Weiping and published in 1999, with a second edition in 2000 and a third edition in 2002 Sichuan University and WHO OICPC co-organized the Second and Third Seminar of International Palliative Care of Sichuan in Chengdu and Kunming respectively in 2000 and 2002
我国姑息医学的发展（1）
The development of Palliative care in China
我国姑息医学服务的常用临床单位名称：
姑息关怀科（成都） 临终关怀病房（天津，北京） 善终病房（香港） 护理院（上海） 安宁病房（台湾） 宁养院(汕头)
The name of palliative services commonly-used in China :
中国姑息医学的回顾和现状
Review and Status of Palliative Care in China
李 金 祥
Dr. Jinxiang Li
我国姑息医学的发展 我国麻醉性镇痛药品的监管法规
我国姑息医学的现状
我国姑息医学服务的三种模式 我国姑息医学实践可获得的药品
The development of Palliative care in China The rule on narcotic analgesic management in China Status of Palliative care in China The three models of Palliative care in China Medications of Palliative care are available in China





Jinxiang Li translated Oral Morphine in advanced cancer with Advanced Cancer in 2001, a book written by Dr.Robert Twycross
People’s Medical Publishing House published 《Palliative Medicine》, which was edited by Dr. Jinxiang Li and Dr.Robert Twycross.

1963年 5月，卫生部会同公安部两个部联合发出加强麻 醉药品管理的通知，各项管理措施更为严格 1978 年，国务院颁布了新的《麻醉药品管理条例》及 《实施细则》 , 对医师使用资格及医疗单位购用麻醉药 品的限量均做了具体规定


In November 1950,the “Temporary Policy on Narcotic management” and its administrative details are issued. It is issued that the ministry of Health should appoint special pharmaceutical companies to manufacture the drugs. China Medical Corporation is appointed as the supplier. No other organizations or individuals are entitled the right to plant, manufacture, or market.Those who disobey the law will suffer from legal consequences.
姑息医学在中国的发展（2）
1987年李伟在北京创办“松堂临终关怀医院” 1988年天津医科大学成立“临终关怀研究中心” 1990年天津医科大学建立临终关怀病房

“Songtang Hospice ” was established by Li Wei in Beijing,
1987

The first Hospice Research Centre in China was established
一、麻醉性镇痛药品监管政策

1950年11月，公布“管理麻醉药品暂行条例”及实施细 则 规定由卫生部指定专门药厂生产 指定中国医药公司负责供应 其它任何机构或个人均不得种植、制造、运输或销售， 违者依法论处
1. Policies For Narcotic Analgesic Management